Post Menopausal Bleeding

causes of post menopausal bleeding: 

• 1)Endometrial  atrophy (a thinning of the uterine lining)
• 2)vaginal atrophy
• 3) fibroids, or endometrial polyps

Investigation: 

• 1) usg of TVS
• 2)Edometrial Biopsy
• 3)Sonohysterography
• 4)Hysteroscopy
• 5)CBC 

Rx:

1.Tab.Normens (Norethisterone) (5mg)

• 2+2+2………….21 days
  

2.Cap.xamic( Tranexamic acid)(500mg)

• 1+1+1………….3-5 days
  

3.Tab.pantonix(pantoprazol)(20mg)

• 1+0+1………….15 days
  

4.Tab.Neofloxin (Ciprofloxacin) (500mg)

• 1+0+1……….. 7 days
  

5.Tab.Norvis(Tiemonium)(50mg)

• 1+1+1……...3-5 দিন (if pain)
  

Advice:  রেফার্ড গাইনেকোলজিস্ট